To assess and analyze the clinical outcome of conservative and operative management of head injury in acute subdural haematoma

Abstract

Traumatic acute subdural haematoma (SDH) continue to have high mortality & morbidity despite the advent of rapid transportation, CT Scan and Intensive care management. The general surgical procedures for Acute SDH is Craniotomy with removal of haematoma & decompressive craniectomy if necessary. This is a study based in department of surgery. After taking complete history and detailed examination and investigation (CT Scan) was be done. Decision of surgery was be taken by the consultant neurosurgeon of the acute Subdural Haematoma, involvement of aloquent areas and associated other injury of brain.200 patients with head injury who reported at casualty of Gandhi Medical College, and Hamidia Hospital, Bhopal.In our study, Mode of Injury found to be Assault were 20%, Fall were 27% & RTA 53% in Conservative whereas Assault were 06%, Fall were 14% & RTA 80%.The chi-square statistic is 96.3397. The p-value is < 0.00001. The result is significant at p < 0.05. These findings indicate that the thickness/size of acute SDH significantly correlates with the type of management to be done for the patient.Acute subdural haematoma is the major cause of significant morbidity and mortality due to traumatic head injury. Acute subdual haematoma is commonly associated with countercoup injuries and diffuse axonal injury (DAI). The clinical presentation in patients with acute SDH is related to raised ICP and the severity of DAI. C.T. Scan is the investigation of choice in patients with head injury.